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[腹部生物电阻抗分析和人体测量学用于预测中年男性代谢综合征]

[ABDOMINAL BIOELECTRICAL IMPEDANCE ANALYSIS AND ANTHROPOMETRY FOR PREDICTING METABOLIC SYNDROME IN MIDDLE AGED MEN].

作者信息

Fernández-Vázquez Rosalía, Millán Romero Ángel, Barbancho Miguel Ángel, Alvero-Cruz José Ramón

机构信息

Universidad de Málaga, Andalucía Tech. Dpto. de Fisiología Humana y Educación Física y Deportiva. Facultad de Medicina. Campus de Teatinos, Málaga..

Universidad de Málaga, Andalucía Tech. Dpto. de Fisiología Humana y Educación Física y Deportiva. Facultad de Medicina. Campus de Teatinos, Málaga. Instituto de Investigaciones Biomédicas de Málaga, España..

出版信息

Nutr Hosp. 2015 Sep 1;32(3):1122-30. doi: 10.3305/nh.2015.32.3.9401.

Abstract

OBJECTIVE

central obesity has a higher risk of metabolic syndrome. The present work aimed to study the relationship of trunk fat and the visceral fat index, and other anthropometric indices in relation to the metabolic syndrome in middle aged male Methods: design: transversal descriptive and correlational study.

PARTICIPANTS

75 male, volunteers who have access to a medical assessment, with an age range of 21 to 59 years, from different professions.

MEASUREMENTS

Weight, height, body mass index, waist circumference, gluteal circumference, waist-to-hip ratio, waist-to-height ratio, trunk fat and visceral fat level by bioelectrical abdominal impedance analysis with Tanita AB-140 (ViScan) and biochemical markers: fasting glucose, total cholesterol, and triglycerides. Likewise, the systolic and diastolic blood pressure was measured.

RESULTS

there are significant correlations of anthropometric measurements with trunk fat and visceral fat level and the same with biochemical variables. Receptor-operator curves (ROC curve) analysis shows that the cutoff points from which arises the metabolic syndrome are 32.7% of trunk fat and a level of visceral fat of 13 with a high sensitivity and specificity, attaining the same cut-off points for the metabolic syndrome and obesity status.

CONCLUSIONS

trunk fat and visceral fat levels determined by bioelectrical abdominal impedance analysis, values are variables very sensitive and specific for the detection of metabolic syndrome and obesity, though not over the variables and anthropometric indices. In the condition of the overweight, trunk fat and visceral fat level are more predictive than anthropometric measures.

摘要

目的

中心性肥胖具有更高的代谢综合征风险。本研究旨在探讨中年男性躯干脂肪、内脏脂肪指数及其他人体测量指标与代谢综合征之间的关系。方法:设计:横断面描述性和相关性研究。

参与者

75名可接受医学评估的男性志愿者,年龄在21至59岁之间,来自不同职业。

测量指标

体重、身高、体重指数、腰围、臀围、腰臀比、腰高比、通过Tanita AB - 140(ViScan)生物电阻抗分析法测量的躯干脂肪和内脏脂肪水平,以及生化指标:空腹血糖、总胆固醇和甘油三酯。同样,测量收缩压和舒张压。

结果

人体测量指标与躯干脂肪、内脏脂肪水平以及生化变量之间存在显著相关性。受试者工作特征曲线(ROC曲线)分析表明,代谢综合征出现的切点为躯干脂肪的32.7%和内脏脂肪水平为13,具有较高的敏感性和特异性,代谢综合征和肥胖状态的切点相同。

结论

通过生物电阻抗分析法测定的躯干脂肪和内脏脂肪水平,对于检测代谢综合征和肥胖而言是非常敏感和特异的变量,尽管不超过其他变量和人体测量指标。在超重情况下,躯干脂肪和内脏脂肪水平比人体测量指标更具预测性。

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